Laparoscopic abdominal surgery

Perrin, Mandy E.; Fletcher, Anthony

doi:10.1093/bjaceaccp/mkh032

Cited by 74 publications

(69 citation statements)

References 4 publications

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“…Studies show decreased LES tone with the use of supraglottic airway device but no effect on the pharyngo-esophageal reflux [18,19]. The increase in IAP during LS may cause reflux of gastric contents with the risk of regurgitation or pulmonary aspiration [20]. However, it has been also revealed that the increase in IAP may induce an adaptive response in the LES that allows maintenance of pressure gradient across the gastro esophageal junction and may actually reduce the risk of regurgitation [21].…”

Section: Pathophysiology Of Pneumoperitoneum and Anesthetic Concerns mentioning

confidence: 99%

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Subramanian¹

2016

ACC

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Section: Pathophysiology Of Pneumoperitoneum and Anesthetic Concerns mentioning

confidence: 99%

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Subramanian¹

2016

ACC

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“…Though surgical interventions using laparoscopes involve insufflation, the pressure is carefully regulated. Increasing insufflation pressure can lead to adverse effects like cardiac arrhythmia and respiratory complications (Perrin and Fletcher, 2004).…”

Section: Materials Failurementioning

confidence: 99%

On Intrinsic Safety of Soft Robots

Abidi

Cianchetti

2017

Front. Robot. AI

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The rapidly growing field of soft robotics owes its success to the vast vistas of possibilities they promise. They may be utilized as standalone systems or work in harmony with the existing robotic technologies. Being based on soft and/or flexible materials, soft robots have usually high dexterity and, at the same time, they are also often considered “intrinsically safe.” This is generally true and soft-bodied robots can be considered safer from a mechanical point of view, but this is sometimes improperly used. The identification of possible safety loopholes in soft robots is the subject of this paper. After a general overview of safety in robotics, we reported an overview of the main sources of unsafe conditions that may arise by the use of soft robotics technologies. Safety aspects are discussed in three categories: quasi-static, dynamic, and material failure. Some safety factors exclusive to soft robots such as whiplash-like effect and energy stored in highly strained elements are also introduced. Measures to avoid such unsafe conditions are presented such as establishing operational limits and introduction of inspection regimes and arrest systems

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“…Potential complications arising include acidosis associated with transperitoneal absorption of carbon dioxide commonly used in insufflation, which can increase cardiac arrhythmia risk in susceptible patients. 57,58 Increasing ventilation can be used for correction of acidosis. Another significant risk associated with abdominal insufflation is passive regurgitation of gastric contents due to pressure on abdominal structures.…”

Section: Other Complicationsmentioning

confidence: 99%

“…Another significant risk associated with abdominal insufflation is passive regurgitation of gastric contents due to pressure on abdominal structures. 58 Endotracheal intubation is therefore recommended in conjunction with general anaesthesia to reduce the risk of aspiration. The abdominal pressure can also directly impact the thorax, which in patients under general anaesthesia, can result in atelectasis and functional pulmonary shunt, and consequently hypercarbia and a respiratory acidosis.…”

Section: Other Complicationsmentioning

confidence: 99%

The Management of Gynecological Laparoscopy Complications: Review

Eser¹,

Gümüş²,

Akgün³

et al. 2017

Turkiye Klinikleri J Gynecol Obst

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A AB BS S T TR RA AC CT T Laparoscopy has a good safety profile, with advantages over more invasive surgeries such as reduced operative procedure time, reduced complications, decreased hospital stay and improved recovery time. However, complications can arise, including vessel injuries, gastrointestinal and genitourinary injury, gas embolism, incisional hernia, port site metastases, subcutaneous emphysema, wound site infection, intraperitoneal adhesions and anaesthesia related complications. Training and supervision of new surgeons, familiarity with equipment and instruments, development of excellent surgical skills and awareness of potential complications are key to management of complications in gynaecological endoscopic procedures. Importantly, there are many ways in which the risk of complications can be minimised. Laparoscopic camera control systems and robotically assisted endoscopic surgeries are some recently developed technological innovations. The use of laparo-endoscopic single-site surgery for procedures including balloon vaginoplasty should theoretically also help reduce complications. There is also a trend towards natural orifice transluminal endoscopic surgery, for example, transvaginal natural orifice transluminal endoscopic hysterectomy, which has the advantages of not being limited by uterine volume or the need for abdominal incision. Thus, surgeons can incorporate innovative techniques and technologies into management and minimisation of complications in gynaecological endoscopic procedures. This article reviews measures can be taken to minimize and management of gynecological laparoscopic complications.K Ke ey yw wo or rd ds s: : Laparoscopy; complications; case management Ö ÖZ ZE ET T Laparoskopi daha invaziv cerrahiler üzerine, daha kısa operasyon süresi, azalan komplikasyonlar, daha kısa hastanede kalış süresi, daha hızlı iyileşme gibi avantajlarıyla iyi bir güvenlik profiline sahiptir. Ancak damar yaralanmaları, gastrointestinal ve genitoüriner yaralanmalar, gaz embolisi, insizyonel herni, port yeri metastazı, subkutanöz anfizem, yara yeri enfeksiyonu, intraperitoneal adezyonlar ve anestezi ile ilişkili istenmeyen olaylar gibi komplikasyonlar meydana gelebilmektedir. Yeni cerrahların eğitilmesi ve denetlenmesi, araç gereçleri tanımaları, kusursuz cerrahi yetenekler geliştirmeleri ve potansiyel komplikasyonlara dair bilince sahip olmaları jinekolojik endoskopik yöntemlerde komplikasyon yönetiminin anahtarlarıdır. Daha da önemlisi, komplikasyon riskini minimize edebilmenin birçok yolu bulunmaktadır. Laparaskopik kamera kontrol sistemleri ve robotik yardımlı endoskopik ameliyatlar geliştirilen güncel teknolojik yeniliklerden bazılarıdır. Balon vajinoplasti gibi yöntemler için laparo-endoskopik tek taraflı cerrahi uygulaması da teorik olarak komplikasyonların azaltılmasına yardımcı olur. Aynı zamanda, örne-ğin vajinal histerektomi gibi uterus hacminin sınırlandırıcı etkisinin olmaması veya abdominal kesi gerektirmeme gibi avantajlara sahip olması nedeniyle transluminal endoskopik cerrahiye do...

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Laparoscopic abdominal surgery

Cited by 74 publications

References 4 publications

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

Supraglottic Devices in Laparoscopic Surgery - A Review of Literature

On Intrinsic Safety of Soft Robots

The Management of Gynecological Laparoscopy Complications: Review

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